Individual provider Active NPI

Iheanyi C Uwanamodo, MD

  • Anesthesiology Physician
  • Rockville, MD
National Provider Identifier
1386623205
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
D0055686 Issued in MD
Practice address
15005 Shady Grove Rd Ste 200
Rockville, MD 20850-6358
Phone
(301) 523-0203
Fax
(301) 515-7870
NPI assigned
Jan 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X D0055686 MD Primary

Addresses

Primary practice location

15005 Shady Grove Rd Ste 200
Rockville, MD 20850-6358

Mailing address

20119 Cider Barrel Dr
Germantown, MD 20876-2708
Phone (301) 523-0203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040820000020 MD Practitioner - Anesthesiology 3779496476 Reassigns benefits to 3 organizations
I20051110000652 DC Practitioner - AnesthesiologyPractitioner - Pain Management 3779496476 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
63.85 of 100Reported as group
Quality
57.47
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0055686MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
Potomac Anesthesia Consultants LLC Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Comfort Sedation LLC CurrentSince Sep 7, 2010 Accepting new patients
Montgomery Anesthesia Care, LLC Anesthesiology CurrentSince Dec 1, 2011 Accepting new patients
Mercy Medical Center Current Accepting new patients
University of Maryland St. Joseph Medical Group, LLC CurrentSince Jan 1, 2024 Accepting new patients
First Colonies Anesthesia Associates, LLC Anesthesiology CurrentSince Dec 30, 2022 Accepting new patients
Anesthesia Company, LLC Anesthesiology CurrentSince Oct 1, 2022 Accepting new patients
Safe Sedation, PLLC Anesthesiology Past Accepting new patients
North American Partners in Anesthesia Maryland LLC Anesthesiology PastSince Jul 10, 2022 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Odo Medical Associates Inc Anesthesiology Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1 University Ave
Ste 104
Westwood, MA 02090

2001 Medical Pkwy
Annapolis, MD 21401
Phone (410) 280-5601

827 Linden Ave
Baltimore, MD 21201
Phone (410) 225-8100

4713 Leeds Ave
Baltimore, MD 21227
Phone (410) 247-4740

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

900 Elkridge Landing Rd
Fl 2
Linthicum Heights, MD 21090
Phone (443) 462-5010

5401 Old Court Rd
Randallstown, MD 21133
Phone (301) 337-2727

15001 Shady Grove Rd
Ste 400
Rockville, MD 20850
Phone (301) 340-1188

10110 Molecular Dr
Ste 100
Rockville, MD 20850
Phone (301) 838-0437

15005 Shady Grove Rd
Ste 200
Rockville, MD 20850
Phone (301) 340-8099

11210 Old Georgetown Rd
#12202
Rockville, MD 20852
Phone (301) 881-7770

11210 Old Georgetown Rd
Rockville, MD 20852
Phone (301) 881-7770

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

8905 Fairview Rd
Silver Spring, MD 20910
Phone (888) 554-0631

8322 Bellona Ave
Ste 201
Towson, MD 21204
Phone (410) 337-2688

7601 Osler Dr
Towson, MD 21204
Phone (410) 337-1150

Interoperability endpoints

  • Direct secure messaging: iuwanamodo1030388@direct.umm.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1386623205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20119 CIDER BARREL DR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208762708",
            "telephone_number": "301-523-0203",
            "fax_number": "301-515-7870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15005 SHADY GROVE RD STE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208506358",
            "telephone_number": "301-523-0203",
            "fax_number": "301-515-7870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWANAMODO",
        "first_name": "IHEANYI",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0055686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.